Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study

Advanced glycation end-products (AGEs) are a heterogeneous group of compounds formed by the non-enzymatic reaction between amino-acids and reducing sugars, or dicarbonyls as intermediate compounds. Experimental studies suggest that AGEs may promote colorectal cancer, but prospective epidemiologic st...

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Main Authors: Aglago, EK, Schalkwijk, CG, Freisling, H, Fedirko, V, Hughes, DJ, Jiao, L, Dahm, CC, Olsen, A, Tjønneland, A, Katzke, V, Johnson, T, Schulze, MB, Aleksandrova, K, Masala, G, Sieri, S, Simeon, V, Tumino, R, Macciotta, A, Bueno-de-Mesquita, B, Skeie, G, Gram, IT, Sandanger, T, Jakszyn, P, Sánchez, M-J, Amiano, P, Colorado-Yohar, SM, Gurrea, AB, Mayén, A-L, Weiderpass, E, Gunter, MJ, Heath, AK, Jenab, M
Format: Journal article
Language:English
Published: Oxford University Press 2021
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author Aglago, EK
Schalkwijk, CG
Freisling, H
Fedirko, V
Hughes, DJ
Jiao, L
Dahm, CC
Olsen, A
Tjønneland, A
Katzke, V
Johnson, T
Schulze, MB
Aleksandrova, K
Masala, G
Sieri, S
Simeon, V
Tumino, R
Macciotta, A
Bueno-de-Mesquita, B
Skeie, G
Gram, IT
Sandanger, T
Jakszyn, P
Sánchez, M-J
Amiano, P
Colorado-Yohar, SM
Gurrea, AB
Mayén, A-L
Weiderpass, E
Gunter, MJ
Heath, AK
Jenab, M
author_facet Aglago, EK
Schalkwijk, CG
Freisling, H
Fedirko, V
Hughes, DJ
Jiao, L
Dahm, CC
Olsen, A
Tjønneland, A
Katzke, V
Johnson, T
Schulze, MB
Aleksandrova, K
Masala, G
Sieri, S
Simeon, V
Tumino, R
Macciotta, A
Bueno-de-Mesquita, B
Skeie, G
Gram, IT
Sandanger, T
Jakszyn, P
Sánchez, M-J
Amiano, P
Colorado-Yohar, SM
Gurrea, AB
Mayén, A-L
Weiderpass, E
Gunter, MJ
Heath, AK
Jenab, M
author_sort Aglago, EK
collection OXFORD
description Advanced glycation end-products (AGEs) are a heterogeneous group of compounds formed by the non-enzymatic reaction between amino-acids and reducing sugars, or dicarbonyls as intermediate compounds. Experimental studies suggest that AGEs may promote colorectal cancer, but prospective epidemiologic studies are inconclusive. We conducted a case-control study nested within a large European cohort. Plasma concentrations of three protein-bound AGEs: N ε-(carboxy-methyl)lysine (CML), N ε-(carboxy-ethyl)lysine (CEL) and N δ-(5-hydro-5-methyl-4-imidazolon-2-yl)-ornithine (MG-H1) were measured by ultra-performance liquid chromatography tandem mass-spectrometry in baseline samples collected from 1,378 incident primary colorectal cancer cases and 1,378 matched controls. Multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were computed using conditional logistic regression for colorectal cancer risk associated with CML, CEL, MG-H1, total AGEs, and [CEL+MG-H1: CML] and [CEL:MG-H1] ratios. Inverse colorectal cancer risk associations were observed for CML (OR comparing highest to lowest quintile, ORQ5vs.Q1=0.40, 95%CI:0.27-0.59), MG-H1 (ORQ5vs.Q1=0.73, 95%CI:0.53 - 1.00) and total AGEs (OR Q5vs.Q1=0.52, 95%CI:0.37 - 0.73) whereas no association was observed for CEL. A higher [CEL+MG-H1: CML] ratio was associated with colorectal cancer risk (ORQ5vs.Q1=1.91, 95%CI:1.31-2.79). The associations observed did not differ by sex, or by tumour anatomical subsite. Although individual AGEs concentrations appear to be inversely associated with colorectal cancer risk, a higher ratio of methylglyoxal-derived AGEs versus those derived from glyoxal (calculated by [CEL+MG-H1: CML] ratio) showed a strong positive risk association. Further insight on the metabolism of AGEs and their dicarbonyls precursors, and their roles in colorectal cancer development is needed.
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spelling oxford-uuid:e82cba22-eda3-4fd2-973d-dcb7b7ee158d2022-03-29T07:52:06ZPlasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e82cba22-eda3-4fd2-973d-dcb7b7ee158dEnglishSymplectic ElementsOxford University Press2021Aglago, EKSchalkwijk, CGFreisling, HFedirko, VHughes, DJJiao, LDahm, CCOlsen, ATjønneland, AKatzke, VJohnson, TSchulze, MBAleksandrova, KMasala, GSieri, SSimeon, VTumino, RMacciotta, ABueno-de-Mesquita, BSkeie, GGram, ITSandanger, TJakszyn, PSánchez, M-JAmiano, PColorado-Yohar, SMGurrea, ABMayén, A-LWeiderpass, EGunter, MJHeath, AKJenab, MAdvanced glycation end-products (AGEs) are a heterogeneous group of compounds formed by the non-enzymatic reaction between amino-acids and reducing sugars, or dicarbonyls as intermediate compounds. Experimental studies suggest that AGEs may promote colorectal cancer, but prospective epidemiologic studies are inconclusive. We conducted a case-control study nested within a large European cohort. Plasma concentrations of three protein-bound AGEs: N ε-(carboxy-methyl)lysine (CML), N ε-(carboxy-ethyl)lysine (CEL) and N δ-(5-hydro-5-methyl-4-imidazolon-2-yl)-ornithine (MG-H1) were measured by ultra-performance liquid chromatography tandem mass-spectrometry in baseline samples collected from 1,378 incident primary colorectal cancer cases and 1,378 matched controls. Multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were computed using conditional logistic regression for colorectal cancer risk associated with CML, CEL, MG-H1, total AGEs, and [CEL+MG-H1: CML] and [CEL:MG-H1] ratios. Inverse colorectal cancer risk associations were observed for CML (OR comparing highest to lowest quintile, ORQ5vs.Q1=0.40, 95%CI:0.27-0.59), MG-H1 (ORQ5vs.Q1=0.73, 95%CI:0.53 - 1.00) and total AGEs (OR Q5vs.Q1=0.52, 95%CI:0.37 - 0.73) whereas no association was observed for CEL. A higher [CEL+MG-H1: CML] ratio was associated with colorectal cancer risk (ORQ5vs.Q1=1.91, 95%CI:1.31-2.79). The associations observed did not differ by sex, or by tumour anatomical subsite. Although individual AGEs concentrations appear to be inversely associated with colorectal cancer risk, a higher ratio of methylglyoxal-derived AGEs versus those derived from glyoxal (calculated by [CEL+MG-H1: CML] ratio) showed a strong positive risk association. Further insight on the metabolism of AGEs and their dicarbonyls precursors, and their roles in colorectal cancer development is needed.
spellingShingle Aglago, EK
Schalkwijk, CG
Freisling, H
Fedirko, V
Hughes, DJ
Jiao, L
Dahm, CC
Olsen, A
Tjønneland, A
Katzke, V
Johnson, T
Schulze, MB
Aleksandrova, K
Masala, G
Sieri, S
Simeon, V
Tumino, R
Macciotta, A
Bueno-de-Mesquita, B
Skeie, G
Gram, IT
Sandanger, T
Jakszyn, P
Sánchez, M-J
Amiano, P
Colorado-Yohar, SM
Gurrea, AB
Mayén, A-L
Weiderpass, E
Gunter, MJ
Heath, AK
Jenab, M
Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study
title Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study
title_full Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study
title_fullStr Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study
title_full_unstemmed Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study
title_short Plasma concentrations of advanced glycation end-products and colorectal cancer risk in the EPIC study
title_sort plasma concentrations of advanced glycation end products and colorectal cancer risk in the epic study
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